Comparative study of anterior segment measurements using 3 different instruments in myopic patients after ICL implantation
Abstract Background To compare and correlate anterior segment measurements of myopic eyes implanted with Implantable Collamer lens (ICL V4c) by using anterior segment optical coherence tomography (AS-OCT), Pentacam and ultrasound biomicroscopy (UBM). Methods Anterior chamber depth (ACD), distance be...
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BMC
2019-08-01
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| Series: | BMC Ophthalmology |
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| Online Access: | http://link.springer.com/article/10.1186/s12886-019-1194-y |
| _version_ | 1818260772232364032 |
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| author | Ting Wan Houfa Yin Yi Yang Fang Wu Zhiyi Wu Yabo Yang |
| author_facet | Ting Wan Houfa Yin Yi Yang Fang Wu Zhiyi Wu Yabo Yang |
| author_sort | Ting Wan |
| collection | DOAJ |
| description | Abstract Background To compare and correlate anterior segment measurements of myopic eyes implanted with Implantable Collamer lens (ICL V4c) by using anterior segment optical coherence tomography (AS-OCT), Pentacam and ultrasound biomicroscopy (UBM). Methods Anterior chamber depth (ACD), distance between corneal endothelium and anterior surface of ICL(C-ICL) and central vault were measured in 82 phakic myopic eyes of 82 patients who underwent ICL surgery, by using AS-OCT, Pentacam and UBM consecutively at 3 months follow up. The correlation and agreement of instruments were accessed by using Intraclass correlation coefficient (ICC) and the Bland-Altman plot. Results AS-OCT showed higher ACD, C -ICL and central vault measurements than both of Pentacam and UBM (P < 0.001), while Pentacam showed lower measurements than UBM (P < 0.05). The Pearson correlation coefficient (r) was 0.91 to 0.96, and ICC was 0.95 to 0.98 for all measurements between difference devices (all P < 0.001). The 95% limits of agreement of ACD, C-ICL, vault measurements were 0.13 to 0.38 mm, − 0.07 to 0.27 mm, 0.08 to 0.34 mm between AS-OCT and Pentacam, − 0.03 to 0.33 mm, − 0.16 to 0.31 mm, − 0.10 to 0.26 mm between AS-OCT and UBM, and − 0.29 to 0.07 mm, − 0.25 to 0.20 mm, − 0.31 to 0.05 mm between Pentacam and UBM, respectively. Conclusions AS-OCT demonstrated significantly higher value, while Pentacam demonstrated significantly lower value than UBM for ACD, C-ICL and central vault measurements in myopic eyes after ICL surgery. Measurements with these instruments were highly correlated, but could not replace each other especially for vault. This study provided valuable information about how to judge the results of anterior segment parameters of eyes implanted with ICL V4c from different devices. Trial registration Registration number: ChiCTR-OOC-16008987. Retrospectively registered: 08 August 2016. |
| first_indexed | 2024-12-12T18:36:38Z |
| format | Article |
| id | doaj.art-6b8bccf1ec9c483291ed3b7c9a32279c |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-12T18:36:38Z |
| publishDate | 2019-08-01 |
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| series | BMC Ophthalmology |
| spelling | doaj.art-6b8bccf1ec9c483291ed3b7c9a32279c2022-12-22T00:15:46ZengBMCBMC Ophthalmology1471-24152019-08-011911810.1186/s12886-019-1194-yComparative study of anterior segment measurements using 3 different instruments in myopic patients after ICL implantationTing Wan0Houfa Yin1Yi Yang2Fang Wu3Zhiyi Wu4Yabo Yang5Eye Center, Second Affiliated Hospital, School of Medicine, Zhejiang UniversityEye Center, Second Affiliated Hospital, School of Medicine, Zhejiang UniversityEye Center, Second Affiliated Hospital, School of Medicine, Zhejiang UniversityEye Center, Second Affiliated Hospital, School of Medicine, Zhejiang UniversityEye Center, Second Affiliated Hospital, School of Medicine, Zhejiang UniversityEye Center, Second Affiliated Hospital, School of Medicine, Zhejiang UniversityAbstract Background To compare and correlate anterior segment measurements of myopic eyes implanted with Implantable Collamer lens (ICL V4c) by using anterior segment optical coherence tomography (AS-OCT), Pentacam and ultrasound biomicroscopy (UBM). Methods Anterior chamber depth (ACD), distance between corneal endothelium and anterior surface of ICL(C-ICL) and central vault were measured in 82 phakic myopic eyes of 82 patients who underwent ICL surgery, by using AS-OCT, Pentacam and UBM consecutively at 3 months follow up. The correlation and agreement of instruments were accessed by using Intraclass correlation coefficient (ICC) and the Bland-Altman plot. Results AS-OCT showed higher ACD, C -ICL and central vault measurements than both of Pentacam and UBM (P < 0.001), while Pentacam showed lower measurements than UBM (P < 0.05). The Pearson correlation coefficient (r) was 0.91 to 0.96, and ICC was 0.95 to 0.98 for all measurements between difference devices (all P < 0.001). The 95% limits of agreement of ACD, C-ICL, vault measurements were 0.13 to 0.38 mm, − 0.07 to 0.27 mm, 0.08 to 0.34 mm between AS-OCT and Pentacam, − 0.03 to 0.33 mm, − 0.16 to 0.31 mm, − 0.10 to 0.26 mm between AS-OCT and UBM, and − 0.29 to 0.07 mm, − 0.25 to 0.20 mm, − 0.31 to 0.05 mm between Pentacam and UBM, respectively. Conclusions AS-OCT demonstrated significantly higher value, while Pentacam demonstrated significantly lower value than UBM for ACD, C-ICL and central vault measurements in myopic eyes after ICL surgery. Measurements with these instruments were highly correlated, but could not replace each other especially for vault. This study provided valuable information about how to judge the results of anterior segment parameters of eyes implanted with ICL V4c from different devices. Trial registration Registration number: ChiCTR-OOC-16008987. Retrospectively registered: 08 August 2016.http://link.springer.com/article/10.1186/s12886-019-1194-yImplantable Collamer lensAnterior chamber depthVaultOptical coherence tomographyUltrasound biomicroscopyPentacam |
| spellingShingle | Ting Wan Houfa Yin Yi Yang Fang Wu Zhiyi Wu Yabo Yang Comparative study of anterior segment measurements using 3 different instruments in myopic patients after ICL implantation BMC Ophthalmology Implantable Collamer lens Anterior chamber depth Vault Optical coherence tomography Ultrasound biomicroscopy Pentacam |
| title | Comparative study of anterior segment measurements using 3 different instruments in myopic patients after ICL implantation |
| title_full | Comparative study of anterior segment measurements using 3 different instruments in myopic patients after ICL implantation |
| title_fullStr | Comparative study of anterior segment measurements using 3 different instruments in myopic patients after ICL implantation |
| title_full_unstemmed | Comparative study of anterior segment measurements using 3 different instruments in myopic patients after ICL implantation |
| title_short | Comparative study of anterior segment measurements using 3 different instruments in myopic patients after ICL implantation |
| title_sort | comparative study of anterior segment measurements using 3 different instruments in myopic patients after icl implantation |
| topic | Implantable Collamer lens Anterior chamber depth Vault Optical coherence tomography Ultrasound biomicroscopy Pentacam |
| url | http://link.springer.com/article/10.1186/s12886-019-1194-y |
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